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Organization

SMILEY STAR DENTAL PLLC

Active
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Organization

SMILEY STAR DENTAL PLLC

Active
Other names
Paris Children's Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
SHANEKA SCOTT DDS (CEO)
(903) 905-4905
Entity
Organization

Contact information

Practice address
4300 LAMAR AVE, PARIS, TX 75462
(903) 905-4905
(903) 905-4904
Mailing address
4300 LAMAR AVE, PARIS, TX 75462
(903) 905-4905
(903) 905-4904

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
26555
TX
122300000X
Dentist
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
12/22/2016
Last updated
11/08/2022
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